John T. Marshall M.D P.C

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

0101037608 Issued in VA

Legal business name

JOHN T. MARSHALL M.D P.C

Practice address

700 S Sycamore St
Suite 1
Petersburg, VA 23803-5802

Phone

(804) 862-3333

Fax

(804) 862-3398

NPI assigned

Mar 7, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John Talmadge Marshall Sr., M.D

Title

Medical Director

Phone

(804) 862-3333

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1356471247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S SYCAMORE ST",
            "address_2": "SUITE 1",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238035802",
            "telephone_number": "804-862-3333",
            "fax_number": "804-862-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S SYCAMORE ST",
            "address_2": "SUITE 1",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238035802",
            "telephone_number": "804-862-3333",
            "fax_number": "804-862-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN T. MARSHALL M.D P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "TALMADGE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "804-862-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "VA",
            "license": "0101037608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010146976",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Lynn Jenkins, PH.D.
• Randolph Mitchell Jenkins Jr., M.D.
• Ernest Jeter
• Rose R Jeter, LCSW
• Xiao Hong Jin, MD
• John W Lynn DDS LTD
• Ellyse Johns, PT
• Ashley P B Johnson, CD, BEC
• Brendan Johnson
• Daijah Johnson, PTCB, LCPC, LMHC

• Medical Specialty Clinic/Center in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Medical Specialty Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.